MEDICARE: DR. JAMES MURRAY FLYNN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	122	OK

General Provider Information

NPI Number	:	1336145887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES MURRAY FLYNN DPM

Provider Business Mailing Address
First Line	:	5100 N BROOKLINE AVE
Second Line	:	STE 375
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-3628
Country	:	US
Telephone Number	:	405-943-1881
Fax Number	:	405-943-7916

Provider Business Practice Location Address
First Line	:	5100 N BROOKLINE AVE
Second Line	:	STE 375
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-3628
Country	:	US
Telephone Number	:	405-943-1881
Fax Number	:	405-943-7916

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	08/30/2012

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